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| Exercise Diary |
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| Date: __________________ |
| Name:______________________________________________ |
| Ht:_______Wt:____________Sex:____________Age:_______ |
| Frame Size: S M L |
| Daily Water Intake:________________ |
| Daily Coffee Intake: _______________ |
| Are you able to exercise regularly: |
| Sometimes Yes No |
| What are your favourite forms of physical activity: _____________________________________________________ |
| Physical Training Schedule (if applicable) |
| Please write the duration and type of training in the appropriate boxes by time and day of the week. |
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| MON TUES WED THUR FRI SAT SUN |
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| Before Breakfast |
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| Before Lunch |
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| Before Supper |
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| Before Bedtime |
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